Individual
DR. JEFFREY ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 20TH ST, SUITE 606, KNOXVILLE, TN 37916-1809
(865) 546-8040
(865) 541-2787
Mailing address
501 20TH ST, SUITE 606, KNOXVILLE, TN 37916-1809
(865) 546-8040
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
19638
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100023463
PHP TENNCARE
TN
05
—
3046535
—
TN
01
—
4087760
BLUE CROSS OF TN
TN
01
—
P00165594
TRAVELERS MEDICARE
TN
Enumeration date
11/03/2005
Last updated
07/27/2011
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